Bioelectric activity of the brain in elderly patients with epilepsy

Abstract

Epilepsy in the elderly is difficult to diagnose, often erroneous. quite a few similar complex paroxysms at this age for differentiation. For example, cough sipcones, cardiogenic or necrosis. Most of the causes of symptomatic causes in the elderly are cerebrovascular problems, in particular after a stroke, vascular dementia. In cases where there are no causes of epilepsy, scientists tend to consider epilepsy cryptogenic, as a consequence of local brain damage. According to many authors (1, 4, 5), it is partial seizures that make up a high percentage of all types of seizures. This transformation has a chain of consequences from idiopathic epilepsy with a transition to the stage of clinical remission, against the background of vascular changes, leading to the filling of pathology in old age. The difficulty of diagnosis is also associated with the layering of the interpretation of cognitive disorders, intellectual-mnestic, which is mistaken for an epileptic seizure (5, 6, 9). In turn, it ends with inadequate treatment and bad consequences. Therapy should include reducing the risk of developing vascular catastrophes and preventing the transition to epilepsy. Accordingly, the selection of anticonvulsants should be strictly individual, taking into account age and camorbid background, increased susceptibility to side effects of drug groups (2, 7, 8). The main goal of all antiepileptic drugs (AEDs) is to eliminate the epileptic activity of the brain and stabilize the neuron, according to literary sources and practical experience, shows the opposite picture, an increase in the frequency and severity of seizures, the emergence of new ones that are up to status, i.e. agravation begins. To date, the risk of agravation is well understood, so it is necessary to take into account the selection of drugs in the treatment of epilepsy in the elderly. Moreover, the research devoted to the treatment of this category of patients is small in number, giving only general recommendations (1, 3, 5).